FDA Adverse Event Malfunction Summary report: Y

ANATOMICS STARPORE EAR IMPLANT

MDR report key: 17447531 · Received August 2, 2023

Report

Report Number
3007630408-2023-00012
Event Type
Malfunction
Date Received
August 2, 2023
Date of Event
March 16, 2023
Report Date
August 2, 2023
Manufacturer
ANATOMICS PTY LTD
Product Code
JOF
PMA / PMN Number
NANA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

DEVICES REQUIRE PATHOLOGY TESTINGS OR BE RETURNED TO MANUFACTURER TO AID WITH THE INVESTIGATION. IF ADDITIONAL INFORMATION IS RECEIVED FROM THE CUSTOMERS REGARDING THE EVENT, IT WILL BE REPORTED IN A SUPPLEMENTAL REPORT. IMPLANTS' TRACEABILITY WERE CHECKED AND FOUND TO HAVE NO PROCESS NOR PRODUCT NON-CONFORMITIES. SAMPLES FROM UNUSED (STOCK-ON-HAND) SIMILAR IMPLANTS MANUFACTURED AT A SIMILAR TIME POINT USING THE SAME PROCESS AND MATERIALS AS THE IMPLANTS IN QUESTION WERE SENT FOR ROUTINE ANALYSES (ENDOTOXIN AND STERILITY TESTINGS). THE TESTINGS SHOW SATISFACTORY RESULTS AS FOLLOWS: ENDOTOXIN LEVEL: <5 EU/DEVICE (LIMIT: 20 EU/DEVICE); STERILITY: NO VISIBLE GROWTH OF MICROORGANISMS. CONCLUSION TO DATE: NO ANOMALIES FOUND ON THE DEVICES.

Description of Event or Problem · 0

SURGEON EXPLANTED AND REPLACED STARPORE EARS BECAUSE OF NON-SPECIFIC SWELLING. THE PATIENT MADE A SATISFACTORY RECOVERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1495805 ANATOMICS STARPORE EAR IMPLANT POLYMER, ENT SYNTHETIC, POROUS POLYETHYLENE JOF ANATOMICS PTY LTD

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose Required Intervention